Permit A St
C ITY OF TIGARD PLUMBING PERMIT
1 DEVELOPMENT SERVICES PERMIT #: PLM2005 -00632
..� I 13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171 DATE ISSUED: 11 /9/2005
a v
s. PARCEL: 2S 111 AD -07900
SITE ADDRESS: 08860 SW SCHECKLA DR ZONING: R-4.5
SUBDIVISION: SCHECKLA PARK ESTATES LOT: 012 JURISDICTION: TIG
Project Description: Replace fixtures. 9/27/06: "THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL
INSPECTION FOR A PERIOD OF THIRTY DAYS."
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES:. WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 3 OTHER FIXTURES:
TUB /SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
TORRES, VICTOR AND
LOVERSO, DIANA Description Date Amount
8860 SW SCHECKLA DR [PLUMB] Permit Fee 11/8/2005 $83.00
TIGARD, OR 97224 [TAX] 8% State Surcha 11/8/2005 $6.64
[HRPLM] Hourly Plum 9/27/2006 $57.87
Phone : 503 - 620 -9786 [HRTAX] Hourly 8% St 9/27/2006 $4.63
Contractor: Total $152.14
JOHN D.PLUMBING
7472 SW FIR STREET
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 620 -7600
•
Reg #: LIC 89537
PLM 34 -257PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: j �� Permittee Signature:
• Call 503- 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
141,
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Plumbing Permit APDli I O l ' c ► R o i • ri t () \ I .\
City of Tigard S E P 2 6 2006 Pcnnitwa/OL�ae V5 - er4 3 2
13125 SW Hall Blvd. Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 CITY OF TIGAr, � Plan Review
Other Pc n itNo.:
24 Hour Inspection Line: 503.639.4175 BUILDING DIV ., 4 1 �'! Dam Rood Sao P z for
Internet: www.ci.tignxd.or.us
'•� I Notified/Method: rmi.. supplemental rt
lnfonuttaa
. TYPE OF WORK•' •- • • - '•ITO: SC D A•' . r .... ,
❑ New construction 0 Demolition For ' 1 onrr use checklist'
ilddition/altcrati - lsocmmt - Desenp Ea. To tal
�ml' ❑ Other: New t- 2-111mIly damili (includes 100 R. for each utility connection) •- •:".:• '' " • •. ''iCA*7.0O10Y -OF CON5rnt11711oM • 7 . • SPR(1)bath 249.20
g'1 and 2- :fraoily dwelling ❑ Commercial/industrial SFR (2) bath _ 350.00
❑ Accessory building ❑ Multi- thmily SFR (3) bath 399.00
[] Master builder ❑Other: Each additional bath/kitchen 45.00
' l�oVlAf
RMO1' AND 1rCA1`IOk .' Fire sprinkler �_ sq. R) Page 2
"�, �.��'r.: ".`•.'..'. . ... .. _ •• ;.'. 3ketrtilitles
Job silo address: 8 6 a s j 5/4J4 D Catch basin or area drain 16.60
City/State/ZIP: 7!e0/d 97.4 A4 Drywclt, leach line, or trench drain 16.60
Snite/bldg. /apt no.: I name: 721eces Footing drain (no. linear R: ,,,_.,-) Page 2
Cross street/directions to job site: Manufactured harts utilities 110.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer *dinar R: ,-___) Page 2
Storm sewer (era linear ft.: __._) Page 2
Subdlvitrion5cmeck 4 pi4 &foe's Lot no.: 0/49 Water service (no. linear ft.: __) Page 2 -
Picture or Item
Tax rasp /parcel no.: Absorption valve 16.60 • : • • `'bLSiC1 P''1ONr OF''WORh` '.' :` • , - B ar ] c fl awpncventer Paget
•
. 0 • _ , Backwater valve 16.60
` Clothes washer 16.60
Dishwasher 16.60
. Drinking fountain 16.60
,��:.•i,,; 3 4 ' , . - S l ( . .TER - ' _ :,I, •_0..TENAIfr . - EjEjectors/sump 16.60
Name x. ' U ✓ 7bzee s � /,,,• y . ,� Expansion tank - 16.60
Address: 2g4o 5W 5GaflSratiet'.�.J . L g Future /sewer cap 16.60
City /Statee/ /ZIP:'77& ierda eK ti 7.:'.744 Floor drain/floor siak/hub 16.60
Pbone:5 3) G' O - / �j . Fax: ( ) disposal 16.60
',.o.:A tie,Ali<r • ..... K'.coNTCr�' 11aa:bib 16.60
..: ' .�. .. : Ice maker 16.60
Business name: • ea/7S 1 Cil 00 to
terceptorgrcase trap 1 16.60
Contact nano: Ph /76 11 1'tr-e,L. Medical gas (value: $ ) Page 2
Address: /346 S Ge) 451 0 (/ Primer 16.60
City/State/ZIP: ✓ ,i r �^� G` 4 p( /_ no drain (commercial) 16.60
Phon QZ Fax:: 43!r7 " eo.5 T PO � r 16.60 499- 7
.2. 16.60
E Urinal 16.60 •
r..r: . •; :.. • • ' . (01i'F tACTO.R . ` .:. Water closet 16.60
Business name g Ag, . � � � l iib, atear heater 16.60
Address: 7a.. S (4) S j �- der
City /Stnte
Ox., Subtotal
Phone: 03 ) &PO - 7 4900 ( ) Mi permit &x: $72.50
Fax: itcsidmtied baokIIow minimum permit foe: $36.25
cCB Lie.: 7906,3 Plumbing Lie. no lm 44' sv Plan review (25% ofpermit fee)
as vg,_ surcharge (8% of permit fee)
Authorized signature: TOTAL PERMIT FEE
Print name: _ 1 Date: I Mk permit application expires If a permit is not obtained within
180 days after It has been accepted os complete.
*Poe methodology set by Tri -Ccxarty Building Industry Service Board.
•.n ••.- .... ........ •........• -- ._• ....,.. Jan.e.srnummv.IklKO.
0217-d 90/170•d 171717-1 91966179609 1.191S30 OIN3aaOS -110 d VIdS2 :80 90- 9Z -d3S
CITY OF TIGARD To /4/2t?06
° 13125 SW Hall Blvd. Case Activity Listing
7:40:08AM
Tigard, OR 97223 (503) 6394171 Case #: PLM2005- 00632 `'
TIGARD
Activity
Done Updated
1 Code Description Date 1 Date 2 Date 3 Hold Disp By By Notes
1010 Application received 11/9/2005 None RECD BB 11/9/2005
BB
1020 Permit created 11/9/2005 None DONE BB 11/9/2005
BB
1030 Check for parcel tags 11/9/2005 None DONE BB 11/9/2005
BB +:
1260 • PLM signature on • 11/9/2005 None DONE BB 11/9/2005 -1
application BB
1270 .Ready to issue permit 11/9/2005 None REDY BB 11/9/2005
BB
1280 Issue permit 11/9/2005 None DONE BB 11/9/2005 ;,
BB
1290 Reprint permit 9/27/2006 None DONE DER 9/27/2006 ,
DER
1470 Return to "I" status 9/27/2006 None DONE DER 9/27/2006
DER
1530 Permit expired by 7/5/2006 None EXPR ' RB 7/5/2006
limitation RB
2320 Plumbing rough -in 11/17/2005 None PASS MRS 11/17/2005
MRS
2399 Plumbing final 9/29/2006 10/4/2006 None STI 9/29/2006 037449 -01 - 503- 653 -9602 -- VM - Y
S STI .
/ . °/ X ile et 5
„
Page I of - I CaseActiviry..rpt
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM200 &00532
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/2005
Phone: (503) 639 -4171 �"'� I
Inspection Requests (24 Hrs.): (503) 639 -4175 ..„ p_ •.
INSPECTION WORKSHEET FOR DATE: 10/23/2006 TIME: 7 :04AM PAGE: 6E
SITE ADDRESS: 08860 SW SCHECKLA DR CLASS OF WORK:
SUBDIVISION: SCHECKLA PARK ESTATES LOT #: 012 TYPE OF USE:
PROJECT NAME: TORRES
DESCRIPTION: Replace fixtures. 9/27 /06: `THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL
INSPECTION FOR A PERIOD OF THIRTY DAYS."
OWNER: TORRES, VICTOR AND, PHONE #: 503 - 670.9766
CONTRACTOR: JOHN D PLUMBING PHONE #: 503.620 -7600
Inspection Request Scheduled For: Date: 10/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # , •'ssa•e
399 Plumbing final 038455 -01 503 - 643 -9602 Y
Corrections /Comments /Instructio s:
C -- c ' fo i _ - K - ra. .
Co P
. d111 r ,
7,2 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: c-* F' Date: (/& 3/ 4 Phone #: (503) 718- Z 4'
CITY TIGARD ,
BUILDING DIVISION PERMIT #: PLM2005.00632
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 16 , 11
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/4 /2006 TIME: 7:02AM PAGE: 72
SITE ADDRESS: 08860 SW SCHECKLA DR CLASS OF WORK:
SUBDIVISION: SCHECKLA PARK ESTATES LOT #: 012 TYPE OF USE:
PROJECT NAME: TORRES
DESCRIPTION: Replace fixtures. 9/27/06: THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL
. INSPECTION FOR A PERIOD OF THIRTY DAYS."
OWNER: TORRES, VICTOR AND, PHONE #: 503- 620 -9786
CONTRACTOR: JOHN D PLUMBING PHONE #: 503- 620 -7600
Inspection Request Scheduled For: Date: 10/4/2006 Pour Time: -
Code # Inspection Description Confirm # Contact # 11D LGiJ
OP
Corrections /Comme /Instructions: 6414 bt, 7...
d
IT4 .,cJ_a_— / 2 Z . 3 1
rr L -- b i Qc Le, / .7-5 - 7 a ---) 1 2-6 c
C V? (c c) 4,t,5- 1./ALA ,-2,0 4
El PAS O
PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
X FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4(12-- Date: / 6 /0 / Phone #: (503) 718- VtZ